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kinesio taping
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kinesio taping - April 5, 2004 7:13:00 PM
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j
Posts: 74
Joined: January 7, 2004
From: wi
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I'm simply looking for constructive commentary on kinesio taping. I've checked their web site but I'm more interested in what others feel or know.
Thanks, jon
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Re: kinesio taping - April 6, 2004 10:36:00 AM
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USAPT
Posts: 278
Joined: January 14, 2004
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J,
I use the tape to facilitate scapular control, postural re-ed, and with tibial IR or ER, which ever is needed. I use it as an adjunct only with my exercises and manual treatments. My front office ordered the wrong brand and I wouldn't rec. "Kinesio Tex" with foreign language on the box. I cannot recall the other brand at the moment, but this stuff is pink and does not stick well. I hope this is some of the info you wanted.
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Re: kinesio taping - April 6, 2004 5:25:00 PM
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veghed
Posts: 12
Joined: April 17, 2003
From: WI
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Our hospital sponsored a course and I attended. I had a little difficulty buying some of what we were told wtihout much to back it up.
However I do use it occasionally primarily for muscle re-ed and facilitation--ie: scapular, thoracic extension, dorsiflexion. It seems to be pretty effective for those purposes, but when I have tried it for more inhibitive purposes it doesn't seem to to much.
I've used it a few times as an adjunt to treatment with some toe-walkers and the results seemed pretty dramatic--short term and long term with parents applying at home.
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Re: kinesio taping - April 6, 2004 6:16:00 PM
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PTupdate.com
Posts: 1474
Joined: October 8, 2001
From: Pittsburgh, PA USA
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I have been using it a TON on rotator cuff patients. The theory behind the practice, according to the instructors, is to pull the humeral head posteriorly, therefore reducing the anterior tissue compression. Perhaps, but I think it really works because it reminds people to quit doing dumb things with that limb and allow some healing to occur. Either way, people love it, and often remark that the pain subsided once I applied the tape, and returned a few minutes after removing it a couple of days later.
I use if for some PFPS patinets, but it doesn't stay on like it does for the shoulders. I also use it to reduce neural tension in cervical radiculopathy patients, by supporting the upper trap. They usually get great relief, but the shear force of the tape breaks down the skin early.
John Duffy, PT OCS [URL=http://www.PTupdate.com]www.PTupdate.com[/URL]
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Re: kinesio taping - April 7, 2004 3:44:00 AM
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Alex Brenner PT MPT OCS
Posts: 1057
Joined: February 29, 2004
From: Kentucky
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Hi Duffy. Can you elaborate on how you apply the tape for your RC patients? Maybe a pic. Also, can anyone provide a picture of exactly the type of tape we are talking about.
Thanks,
Army
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Re: kinesio taping - April 7, 2004 12:39:00 PM
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UTDC
Posts: 222
Joined: December 21, 2003
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Hi All,
I use the stuff and it works quite well, although I prefer leukotape.
On a side note, it was actually "invented" by a DC.
Jeff
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Re: kinesio taping - April 7, 2004 4:42:00 PM
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j
Posts: 74
Joined: January 7, 2004
From: wi
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Thanks so far for your input. The reason I posted in the first place is that my employer is sponsoring a course and I have been encouraged to go. I tend to hate to spend my budget on stuff like this but I can't know what I haven't considered so I guess I'll go. Perhaps I'll post in the future after the course.
More commentary is certainly welcome.
jon
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Re: kinesio taping - April 7, 2004 6:09:00 PM
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PTupdate.com
Posts: 1474
Joined: October 8, 2001
From: Pittsburgh, PA USA
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I have pics of the tape technique, but don't know how to post them here. If anybody knows how, send me your email and I will send you the pics to post.
Duffy
ptupdate@adelphia.net
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Re: kinesio taping - April 7, 2004 7:31:00 PM
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Diane
Posts: 1506
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From: Vancouver, B.C., Canada
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Jeff,
.."it was actually "invented" by a DC." It is Japanese tape, do you have the name of the Japanese DC?
Diane
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Re: kinesio taping - April 7, 2004 8:42:00 PM
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UTDC
Posts: 222
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Diane,
Why do you ask?
Jeff
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Re: kinesio taping - April 7, 2004 9:33:00 PM
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Diane
Posts: 1506
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From: Vancouver, B.C., Canada
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Curious is all. I like the tape, use it frequently.
Diane
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Re: kinesio taping - April 8, 2004 7:40:00 AM
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UTDC
Posts: 222
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The Illustrated Kinesio-Taping Manual written by Kenzo Kase, D.C., founder of Kinesio-Taping Method and targeted toward medical professionals. Explains concepts of Kinesio-Taping, and provides a step-by-step approach to getting started. Kinesio-Taping Perfect Manual covers general clinical condition taping. Slightly more advanced than the Illustrated Kinesio Taping book - gets into combination taping and clinical taping from carpal tunnel syndrome to ordinary elbow pain taping techniques. Terms are very generalized, and concepts are not fully included. Targeted for the advanced professional who already has a good grip on the concepts of Kinesio Taping. Written by Kenzo Kase D.C. and Tatsuyuki Hashimoto Ph.D.
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Re: kinesio taping - April 8, 2004 11:49:00 AM
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Diane
Posts: 1506
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From: Vancouver, B.C., Canada
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Thanks for that reference Jeff. Did these two writers of the manual actually invent/develop the tape too?
Diane
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Re: kinesio taping - April 8, 2004 12:14:00 PM
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UTDC
Posts: 222
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Diane,
My understanding is that Kenzo Kase is the one who invented (I'm not sure that is the right word) the tape and the protocol, etc. There seem to be some unique properties to the tape- it stretches in one direction but not the other and is lower profile than elasticon. However it is expensive.
Jeff
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Re: kinesio taping - April 8, 2004 6:07:00 PM
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Diane
Posts: 1506
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From: Vancouver, B.C., Canada
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Thank you Jeff.
Yes, the tape is unique. It sticks well, stays on in the shower etc, but is easy to remove. It is definitely more hypoallergenic than most. It has a lovely moire pattern in it which contacts the skin in an irregular but smooth and rounded way, with little channels that likely stimulate the skin differently than the rest of the tape contact. It is very stretchy lengthwise, but doesn't stretch sideways. A little goes a long way, which makes up for the $25 a roll that it costs. For taping up "pain" there's nothing better that I've found. I usually cut it lengthwise and double the amount of tape that way.
Diane
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Re: kinesio taping - April 16, 2004 4:44:00 PM
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j
Posts: 74
Joined: January 7, 2004
From: wi
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Well I went to the course today. At least the beginning of it. I left after the theorhetical construct of kinesio taping was discussed. It didn't make much sense and worse yet, had little to no research to back up anything. The web site has some references but it does not seem they are peer reviewed articles. The handout had no references at all. According to our handout, The "four major physiologic effects of kinesio taping" are:
1. relieves pain or abnormal feeling on the skin and muscles
2. supports the muscle in movement (expanding effect)
3. Removes congestion of lymphatic fluid or hemorrhages under the skin
4. Corrects misalignment of the joint
I did do a search on medline and cinhal but came up with only two references. One regarding lymph flow in rabbits and the other regarding lateral epicondylalgia. I don't have the original article for either yet. The wording in the abstract regarding lymph flow was strange: "Increase of lymph flow rate due to taping was significant only for passive exercise (p=0.0317)". There was no control making it impossible to determine what caused the increase lymph flow. I have my own ideas as movement is known to increase lymph flow.
There was also a reference regarding treatment of lateral epicondylalagia in JOSPT 33(7):400-7, 2003 jul. It was a better experimental design but perhaps underpowered at only n=16. I'll have to get the full text to read it fully. This of course just looked at does it work versus how or why it works. For that I pose a question to Diane.
Diane, how does kinesio taping fit into neruomatrix theory. You seem to use kinesio taping but I'm guessing under a different theorhetic construct than what you were taught. And if so, how important do you feel the specific application technique is?
For that matter how important do you feel the specific special tape is? It would seem that NM theory wouldn't care too much about these things.
Thanks for the dialogue so far.
jon
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Re: kinesio taping - April 16, 2004 8:30:00 PM
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Diane
Posts: 1506
Joined: March 9, 2001
From: Vancouver, B.C., Canada
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Hi Jon,
Happy to oblige:
"For that I pose a question to Diane."
1. "Diane, how does kinesio taping fit into neruomatrix theory."
To me it is a sticky, long acting (couple days continual) neuromodulator. It affects the skin only, but because the skin is the outside of the brain, (embryologically derived from the same layer) it affects the brain (..as does any "neuromodulatory" effort.)
2. "You seem to use kinesio taping but I'm guessing under a different theorhetic construct than what you were taught."
I have no idea what the actual kinesio construct is, and I was never 'taught' it. I ordered a big bunch of tape online from a chiropractor and set about using it, the "Diane way"..
3."And if so, how important do you feel the specific application technique is?"
I tape according to my own sense of what the "body" wants, in other words I have fooled around some taping this way and that until people can move how they want painfree. I note the pattern of taping I've used, "test" it for awhile, and eventually learn to choose a pattern that is the right one most of the time (efficient use of time, patients' $, the tape itself and everyone's energy) (Hey, we are all 'scientists' testing our own 'theories.' Isn't that why we are called 'professionals'?)
4. "For that matter how important do you feel the specific special tape is? It would seem that NM theory wouldn't care too much about these things."
Actually, kinesio tape is great stuff. I would never go back to the cheap two dollar athletic tape, because I mostly tape pain, and do not try to stabilize joints on high performance athletes. And NM theory doesn't care about anything especially(I doubt "it" has feelings..,)but I do as a "neuromodulator", care that is, about pain. And it is less painful to pull off than athletic tape, and allows normal movement, doesn't restrict it. So if I want to neuromodulate by inputting less pain/enhanced movement, I'll use this costly stuff.
Cheers,
Diane
[This message has been edited by Diane (edited April 17, 2004).]
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Re: kinesio taping - April 17, 2004 11:28:00 AM
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j
Posts: 74
Joined: January 7, 2004
From: wi
Status: offline
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Diane, thanks for the reply.
jon
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Re: kinesio taping - April 26, 2004 3:46:00 AM
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Meagan M
Posts: 1
Joined: April 25, 2004
From: Melbourne, Victoria, Australia
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Hi
I'm a nurse in Australia, and recently suffered a CVA loosing movement in my left arm- through proper kenso kinesio taping i have regained full movement in my arm and I have returned to work. I do not care that you say that there is no references/theories behind it- this stuff works, without it i had no hope physio's had given up and i was told i would be disabled for the rest of my life.
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Re: kinesio taping - April 26, 2004 8:20:00 AM
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Dr.Wagner
Posts: 1242
Joined: January 24, 2003
From: Indianapolis
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I absolutely agree with PTupdate...I think the theories behind the tape are virtually referenceless, but it created a fantastic TEMPORARY reminder of posture and corrective mechanics.
Unfortunately it is a technique looking for an application, therefor leads to many claims and anecdotal evidence.
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